Illustrated lectures on ambulance work / by R. Lawton Roberts.

  • Roberts, R. Lawton.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Illustrated lectures on ambulance work / by R. Lawton Roberts. Source: Wellcome Collection.

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    wound next the heart, as any constriction in such a position interferes with the flow of blood through the veins, and tends to increase the bleeding. Thus in the case of a ruptured varicose vein always remove the garter; in venous bleeding from the neck loosen the collar and necktie ; and in other cases loosen the braces, belt, waistband of trousers, etc., according to the position of the wound. Internal Bleeding or Hemorrhage, Bleeding, when the blood escapes directly outside the body, is called external; and I have shown you how by the proper application of pressure, due attention to position, the use of cold, and occasionally of styptics, you may generally give most valuable assistance in cases of external bleeding. Bleeding is called mtejmal when it occurs inside the body. The blood- vessels inside the head, chest, and belly may he ruptured either from disease or injury, the blood escaping into one of the cavities, organs, or passages, of the body. Thus, as a result of disease, blood-vessels may give way in the brain, the lungs, and the stomach ; and any of the deeply-placed blood-vessels may be opened by such injuries as bullet wounds and stabs. Internal bleeding is sometimes the result of a bone being broken ; for instance, bleeding inside the head may be caused by a broken skull, or bleeding inside the chest by a broken rib. In many cases of internal bleeding you never see any blood at all; in other instances the blood escapes from the body in one way or another ; thus the patient may cough up blood if there is bleeding in the lungs, or vomit blood if a blood-vessel in the stomach has ruptured. You cannot give so much assistance in cases of internal as in external bleeding, because you cannot get at the wounded vessel to apply iDressure to it. But you can attend to the position of the patient, and resort to cold, and you can give him astringent drinks. You should place the patient in a comfortable lying down position, with the head slightly raised, and, above all things, let him rest as quietly as possible. Bo not allow bystanders to worry and excite him with talk. Keep people from crowding around him, and if in a room open the window so that there shall be plenty of cool fresh air. If there is any spitting or vomiting of blood get ice if possible, and give small pieces of it to suck. If ice is not available
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